Choosing Your Plastic Surgeon

One of the most important decisions that you will make is choosing the ideal surgeon to understand your unique expectations and deliver your desired results.
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What To Look For

The relationship between patient and surgeon is sacred and is one based on mutual trust, respect, and confidence. This is especially true when surgery is to be undertaken on the delicate structures around the eyes and face, which are not only highly visible from an aesthetic point of view but are also vital for clear vision and optimal facial health.

Question #1

What formal training and specific qualifications does your surgeon have? Is s/he a member of the Royal College of Physicians and Surgeons (Canada)? Or is s/he board-certified (United States)?

This information is very important so that you can understand what formal training your physician/surgeon has completed. There are many “cosmetic doctors” within the medical community with a broad range of skills and training. While some have trained as little as 2 years as a general practitioner, others have specialized for 5 years in fields such as dermatology, ophthalmology, otolaryngology/head-and-neck surgery, or plastic surgery. These specialists are typically members of the Royal College and/or board-certified in their respective specialty. Amongst these specialists, some surgeons have gone on to do further fellowship training for an additional 1-3 years to develop even more focused and advanced skills in specific parts of the body such as eyelids, nose, face, breasts, tummy, or veins, etc. 

Question #2

Is your surgeon a generalist or specialist? Even within the field of plastic surgery, some surgeons operate on the entire body while others focus on specific areas of the body (i.e. eyelids, nose, face, breasts, tummy, etc.).

You want to ensure that your surgeon has the best possible training to deliver the best possible results when operating on a specific part of your body. The more specialized your surgeon is, the better.    

Question #3

For the specific procedure you are considering (i.e. blepharoplasty, rhinoplasty, face-lift, etc.) how many cases does your surgeon typically perform each year?

This metric has been shown by medical research to correlate most closely with the likelihood of having a successful surgical outcome with the least risk of suffering complications. In other words, you want your surgeon performing “that” specific procedure a lot.

Question #4

Where will the surgery be performed? Is the facility accredited by a governing body? Which hospital privileges does your surgeon have?

Some surgeons operate out of public hospitals while others operate in private (out-of-hospital) premises. In Ontario, the College of Physicians and Surgeons (CPSO) regulates all out-of-hospital premises and ensures that the facility meets the required criteria to serve patients in this manner. In addition to ensuring that the surgery is being done at an accredited facility, it’s helpful to know which hospital privileges your surgeon has in the rare case there are any complications which might require admission and care in a hospital setting.

Question #5

What is the reputation and success rate of your surgeon? What does everyone have to say?

This is perhaps the most difficult part of your research. Although you can read online reviews on google, RateMD, and other such websites, it can be difficult to ascertain how to interpret such reviews. They are certainly helpful for you to read because valuable information is often present. Nevertheless, be aware that like any online review in any industry, not every entry can be taken at face value given that they are anonymous and can be fabricated in some instances (both positive and negative). Ideally, you will read through these reviews but also have an opportunity to speak with a former patient of the surgeon or a trusted medical professional (such as your family physician) to help guide you further while making your selection. We advise that you do not base your decision solely on online reviews no matter how great they may seem.  

Get To Know Eye Face Institute

We are committed to the health and beauty of the eyes and face.

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What We Specialize In

Radiant Eyes, Radiant Face ™ Protocol

The Radiant Eyes, Radiant Face ™ Protocol is an integrated, non-invasive, medical-grade facial therapy which helps your eyes and face look and feel rested and rejuvenated with minimal downtime. It is exclusively available at Eye Face Institute.  
 
The protocol consists of 5 key steps that have been carefully selected and combined to create measurable results that help with the maintenance and improvement of the health and beauty of your eyes and face.  
 
These 5 steps are: 1. Clear Eyes, 2. Unveil, 3. Deep work, 4. Renew, and 5. Protect. 
 
Because every individual has unique needs, this protocol has been customized for three levels of care: 1. RERF Refresh, 2. RERF Vitality, and 3. RERF Restore. 

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Eyelid Rejuvenation

The eyes are amongst the most important facial aesthetic features which allow you to communicate, connect, and convey your natural charm. When the eyelids look heavy, droopy, or have dark circles and bags, this can make a person appear sad and fatigued. By contrast, those eyelids that are open, radiant, and well-positioned with aesthetic contours make a person appear alert, energetic, and engaging. Our goal at EFI is to work with you to create and restore natural, aesthetic, and functionally-optimized eyelid anatomy and contour that will convey your vitality and natural charm.   

 

An eyelid lift (blepharoplasty) varies in complexity, but very rarely is it a simple removal of upper eyelid skin alone. More commonly, maneuvers such as repositioning of fat pads, ptosis repair, tendon tightening, canthoplasty, brow-lifting, or lacrimal gland repositioning are also required to achieve the most natural and effective result. Removing the extra skin alone without addressing these other issues can result in a suboptimal outcome (i.e. residual drooping) and increases the risk for surgical complications (i.e. dry eyes, etc.) Previous plastic surgery techniques were subtractive in nature, primarily focusing only on removal of skin and fat. However, this can result in a sunken, hollowed look that does not particularly project youthfulness or beauty.

 

The EFI philosophy is to preserve and reposition fat pads to improve cheek projection and create a natural, aesthetic lower eyelid-cheek junction. This is because advances in our understanding of facial aging over the past two decades inform us that the tired, aged look actually results from deflation and descent of fat pads, thinning of the skin and connective tissue, loss of bone, and stretching of tendons. The interplay between these factors impacts each individual differently so the surgical plan is carefully customized to address each anatomical area as needed.

 

Although eyelid surgery is minimally-invasive and safe, some patients may desire non-surgical treatment options. These range from skin tightening creams and chemical peels, to injectable botulinum toxin (Botox, Xeomin, Dysport) and filler, to laser resurfacing and radiofrequency tightening. Such non-surgical treatment options can be very effective with minimal downtime in suitable candidates.

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Facial Rejuvenation

Over time, many of the anatomical structures of the face including bone, muscle, soft tissue, tendons, fascia, and skin become more stretched, shrunken, and descended to varying degrees. We call this process “the aging face”. Lifestyle factors (including quality of general health, nutrition, exercise, and sleep), as well as genetic factors, play an important role in determining which specific facial structures will change and to what degree at progressing life stages.

 

During youth, facial structures are typically well-suspended with clear, healthy skin, great projection and distribution of natural fat pockets, and absence of shadowing, wrinkles, or age spots. Unfortunately, over time, the bony structures start to shrink, tendons start to loosen, fat pads begin to deflate and or herniate forward under the skin in depressed locations, and the skin bears the brunt of wear-and-tear from the environment resulting in poor elasticity, decreased collagen, wrinkles, visible blood vessels, and discoloration.

 

In some people, the face can change dramatically over time from a “base up triangle” shape during youth to a “base down triangle” in the 5th decade of life or beyond. When considering which treatment option is ideal for you, we must evaluate individual factors such as general health, medications, lifestyle, desired results, and tolerable downtime. There are a host of treatment options available which vary in degree of invasiveness, duration, and depth of treatment. During your consultation, we will review all options available to meet your unique needs.

 

Minimally-invasive (non-surgical) procedures include skin care regimens, chemical peels, laser resurfacing, radiofrequency tightening, botulinum toxin injections, and filler injections. These interventions typically address more superficial skin-related aging changes and help decrease early deflation and descent of facial fat pads and other soft tissue structures.

 

A great non-surgical option to improve health and vitality of the entire face is the Radiant Eyes, Radiant Face™ Protocol 

 

Surgical options include resuspension of descended tissues with a minimally-invasive thread lift technique versus more permanent fixation surgery such as a full-face lift. Volumization options include fat-grafting and fat-transfer techniques. Specifically, structures such as the eyebrows/forehead, eyelids, mid-face, chin, and or neck can be operated upon to achieve harmonized facial contours that are natural and youthful.

 

Many patients benefit from a customized treatment plan that includes a combination of the various treatment options mentioned above.

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Removal Of Eyelid And Facial Lesions

Eyelid and facial lesions (lumps & bumps) are commonly referred to the oculoplastic and facial plastic surgeons at Eye Face Institute. Most of these lesions are benign (i.e. not cancerous) but we also treat a host of more complex cancerous lesions and perform the reconstructive surgery that is often required.

 

Most facial lesions are removed in our procedure room under local anesthesia during a minimally-invasive, comfortable treatment session.

 

We also treat lesions that present themselves on more delicate and complex facial structures such as the eyelids, eye surface, eyelid margins, nose, ears, and lips. Some examples of common eyelid lesions include chalazia (styes), epidermal cysts, nevi, and papillomas.

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MD Results ™ Skin Care System

The MD Results™ research team consisting of physicians, surgeons, pharmacists, and chemists has developed an advanced line of skin care products specifically targeted to health and vitality of the eyelids, face, and neck. These products have been customized and regimens developed so that the unique needs of different individuals based on their age, gender, racial background, skin type, and lifestyle are accounted for.

 

You simply cannot use a “one-size-fits-all” approach when it comes to getting the best possible results from your skin care regimen. Our customized system takes your unique differentiators into account and the regimens reflect these differences. The MD Results™ ethical standard is to use the most natural ingredients possible to achieve measurable results. Clients should not have to wonder whether or not their time and money investment in a skincare regimen is working or not. The results must speak for themselves.

 

Our commitment to you is to be fully transparent and provide treatment regimens that create real value and measurable results, and are also safe to use on your skin long-term. Over time, your skin will continue to change and so the skin care regimen must be updated accordingly for maximal benefit. The MD Results™ clinical team will help you through this process.

 

MD Results™ is driven by constant innovation based on up-to-date medical research. We are continuously striving to find the perfect balance between the most natural ingredients that will produce the most measurable results for each of our unique clients’ skin types. This is why the product line is updated regularly based upon current, validated medical research.  

 

The first phase of MD Results™ customized treatment regimens are now available for pre-order to the general public. We believe in this product line so much that there is a 100% money-back guarantee if you are not completed satisfied with your results.

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